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I agree with the top ten health challenges presented in the article. However, the order is not the same. For instance, the fact that many children in Third World nations die before the age of five years demonstrates the role that high poverty levels has a direct impact on poor health. The same is manifested in a higher number of malnourished children and adults, who end up unproductive in the economy, in long-term health problems while others die of hunger. Therefore, although all the challenges presented in the article are real for the current year and century, poverty or the enduring wealth gap is the major health challenge.

As technologies continue to advance and human population increases, the cost of healthcare is likely to increase as well. This is also based on the fact that the government may not be ready and willing to sacrifice much of the national resources to give free health services since other economic factors such as unemployment also need to be dealt with. The enduring wealth gap is the reason why many people, especially in the Third World, are dying of curable diseases such as cancer1. Families end up sacrificing the health of their loved ones instead of spending all the family resources on individual healthcare.